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Medical assistant jobs in North Carolina

North Carolina expects about 3,500 openings each year for medical assistant jobs. If you're considering training, you can choose an accredited program on our North Carolina programs page and send that school the short "Request information" form. Roughly 23,650 people work in the role, and about 3,500 openings appear each year. Pay is close to the US median, and the state does not require a license for medical assistants.

  • People in the role now: about 23,650
  • New openings each year: about 3,500
  • Typical yearly pay: $45,140 ($21.70 an hour)
  • State license required: no
Medical assistant jobs
23,650
Openings a year to 2034
3,500
Job growth 2024 to 2034
+15.9%
Median pay a year
$45,140
US median
$45,690

What to do next

  • About 3,500 medical assistant openings come up in North Carolina every year, and most career school programs across the US take 7 to 9 months, so you could be trained and working in under a year. Pick an accredited school on our North Carolina programs page and send the short "Request information" form under the program table today. It goes straight to that one school, so you can get your questions about its program answered.

Medical assistant job demand across the state

North Carolina ranks 8th out of all 50 states and DC for the number of medical assistant jobs. According to Bureau of Labor Statistics data, the state has 4.8 medical assistants for every 1,000 jobs.

State workforce analysts expect roughly 3,500 openings annually. New positions and workers leaving the field both count toward that number. North Carolina ranks 8 of 51 for yearly openings, according to Projections Central.

Job growth over the next 10 years

More jobs are expected. The number of medical assistant jobs in North Carolina is projected to reach 28,160 by 2034, up from 24,300 in 2024. That works out to 15.9% growth. Nationally, the figure is projected to rise by 12.5% (Projections Central). For projected growth, North Carolina ranks 25 of 51.

Pay for medical assistants in North Carolina

Median pay is the middle amount, meaning half of workers earn above it and half earn below it. In North Carolina, that figure is $45,140 a year. The US median is slightly higher at $45,690 (BLS). North Carolina ranks 27 of 51 for median pay.

Half of medical assistants in North Carolina earn between $38,490 and $47,500 a year. At the bottom, the lowest-paid tenth makes $36,010 or less. At the top, the best-paid tenth earns $50,850 or more.

Pay in North CarolinaAnnual earnings
One in ten earns$36,010 or less
One in four earns$38,490 or less
Half earn more than$45,140 (median)
One in four earns$47,500 or more
One in ten earns$50,850 or more

Positions and wages by metro area

Among the Charlotte, Raleigh, Virginia Beach, Durham and Greensboro metro areas, Charlotte has the most medical assistant jobs. It also has the highest median wage of the five.

Metro areaMedian yearly wagePositions
Charlotte-Concord-Gastonia, NC-SC$46,5206,060
Raleigh-Cary$46,1603,810
Virginia Beach-Chesapeake-Norfolk, VA-NC$43,6203,040
Durham-Chapel Hill$46,4501,800
Greensboro-High Point$46,0901,730

The Bureau of Labor Statistics provides these figures.

Metro areaMedian a yearJobs
Charlotte-Concord-Gastonia, NC-SC$46,5206,060
Raleigh-Cary, NC$46,1603,810
Virginia Beach-Chesapeake-Norfolk, VA-NC$43,6203,040
Durham-Chapel Hill, NC$46,4501,800
Greensboro-High Point, NC$46,0901,730
Asheville, NC$44,4201,470
Winston-Salem, NC$45,8101,350
Wilmington, NC$42,0001,150

Do you need a license or certification?

The state does not regulate medical assistants, so there is no license to apply for.

Your doctor decides which tasks you handle. The North Carolina Medical Board looks at what doctors in the same specialty typically pass to staff. Tasks that require a separate license should stay with licensed people. The Board's list of delegable tasks includes flu shots and x-rays. Botox, fillers and stitching wounds are not on that list.

Medical assistant training in North Carolina

Our list covers 48 North Carolina schools that share their medical assistant graduate numbers with the federal education survey (College Navigator). Among them, 39 run an accredited program. Accreditation means an outside organization, either CAAHEP or ABHES, has reviewed the program against its standards.

Across the whole US, most career school programs take 7 to 9 months, and the middle program takes 9 (IPEDS).

Cost measure (2023-24)Median cost
Full career school program, including tuition, fees and books$17,257
Public college, one year of full-time study, in-district$4,346

Some programs let you take classes online. You still do your hands-on clinical training in person. This hands-on work is called an externship, where you practice in a real clinic or office under supervision.

Asking a school about its program

The accredited programs in North Carolina appear on our North Carolina programs page. Look for the "Request information" form, which comes after the program table.

  1. Pick the accredited program you would like to contact.
  2. Add your name, email, phone, ZIP code, and the date you hope to begin.
  3. Send the form in, and the school you picked will get your request.

Each request goes to just one school, so you can send a separate request for every program you want to compare.

Jobs and pay: Bureau of Labor Statistics wage survey, May 2025. Openings and growth: Projections Central, from North Carolina’s labor market office. The job itself: BLS Occupational Outlook Handbook.

Medical assistant programs in North Carolina · Pay in North Carolina · Certification rules in North Carolina · Jobs in every state

Nearby: Jobs in Georgia · Jobs in South Carolina · Jobs in Tennessee